Leonardo Elizalde, OTR | |
817 E 180th St, Bronx, NY 10460-1305 | |
(718) 355-9652 | |
(718) 220-6263 |
Full Name | Leonardo Elizalde |
---|---|
Gender | Male |
Speciality | Occupational Therapist |
Location | 817 E 180th St, Bronx, New York |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1003246976 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225X00000X | Occupational Therapist | 018328 (New York) | Primary |
Provider Name | Theradynamics Rehab Pt, Ot & Slp, Pllc |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1912463399 PECOS PAC ID: 4082045802 Enrollment ID: O20200512001530 |
Mailing Address | Practice Location Address |
---|---|
Leonardo Elizalde, OTR 2685 University Ave, Apt 25e, Bronx, NY 10468-3315 Ph: (763) 370-4161 | Leonardo Elizalde, OTR 817 E 180th St, Bronx, NY 10460-1305 Ph: (718) 355-9652 |
Mrs. Criselda Jose, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1780 Dr Martin Luther King Jr Blvd, Bronx, NY 10453 Phone: 718-960-4400 | |
Mrs. Sarah Jane Honorio Adriano-filatov, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1604 Edison Avenue Apt 2, Bronx, NY 10461 Phone: 347-221-4091 | |
Brittany Michele Chandler, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 778 Forest Ave, Bronx, NY 10456 Phone: 718-665-5617 | |
Eliana Cutler, OTD, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 475 W 250th St, Bronx, NY 10471 Phone: 718-549-4753 | |
Ms. Robin Redenburg, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2838 Barkley Ave, Bronx, NY 10465 Phone: 718-791-6248 | |
Ronen Samuels, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 3053 Henry Hudson Pkwy, Bronx, NY 10463 Phone: 917-574-8341 |